Dying with dignity: a concept analysis

Hemati, Zeinab; Ashouri, Elaheh; Allahbakhshian, Maryam; Pourfarzad, Zahra; Shirani, Farimah; Safazadeh, Shima; Ziyaei, Marziyeh; Varzeshnejad, Maryam; Hashemi, Maryam; Taleghani, Fariba

doi:10.1111/jocn.13143

Cited by 61 publications

(65 citation statements)

References 43 publications

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“…Nurses play an important role in promoting and maintaining patient dignity, which is more important than health 6. Nurses are expected to provide dignified care to their patients irrespective of gender, age, personality, economic status, lifestyle, culture or race 1.…”

Section: Introductionmentioning

confidence: 99%

Respectful care of human dignity: how is it perceived by patients and nurses?

İncedere

Öztürk

2018

J Med Ethics

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Section: Introductionmentioning

confidence: 99%

Respectful care of human dignity: how is it perceived by patients and nurses?

İncedere

Öztürk

2018

J Med Ethics

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“…In this sense, the perception of dignity can be related to the concept of a dignified death, since dying with dignity is also important for family members and health professionals. 7,[18][19] Responses regarding the increase of dignity consider autonomy as a concept related to decision-making capacity, which in PC is usually shared with the family and even with the patient, when the patient has a preserved level of consciousness and reports the desire to participate in the decisions about their own treatment. 20 With the advancement of the media and social networks, more and more patients and family members have access to information on diagnoses, signs and symptoms, treatments, interpretation of exams; 21 it is then up to the health team to manage the proper interpretation of this information.…”

Section: Discussionmentioning

confidence: 99%

“…6 The systematic review that analyzed the concept of dying with dignity concluded that its main attributes are absence of pain, respect for body and beliefs, financial and emotional support, and protection of privacy. 7 Maintaining human dignity, for some patients, is more important than their own health. Thus, it is essential that health professionals understand the meaning of dignity from the patient's point of view.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, it is essential that health professionals understand the meaning of dignity from the patient's point of view. [6][7] Dignity is present in human life and culture, and integrates the experiences of victories and sufferings. 8 Despite advances in studies on the concept of dignity, there is still little national research on the topic, and little is known about the perception of dignity of patients in the context of palliative care.…”

Section: Introductionmentioning

confidence: 99%

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Perception of Dignity of Patients in Palliative Care

Franco

Salvetti

Donato

et al. 2019

Texto contexto - enferm.

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Objective: to understand the perception of dignity of patients in palliative care and to identify factors that may increase or decrease the sense of dignity. Method: an exploratory study with a qualitative approach, carried in a Palliative Care Center in São Paulo (Brazil), with the Chochinov’s Dignity Model as theoretical framework and content analysis as methodological framework. The participants of this study were 20 patients in palliative care, assessed through semi-structured interviews based on three questions: "What is dignity for you?", "What increases your dignity?", "What decreases your dignity?" The interviews were recorded with the patients’ authorization, from September to November 2017, and transcribed for content analysis. Results: the analysis of the perception of dignity allowed the identification of three categories: Correct person, Autonomy/independence and Socio-political factors. The factors that increased the sense of dignity were the following: Care, Independence/autonomy, Leisure/positive thinking/being with friends. And those that decreased it were the following: Behaviors/attitudes, Health status and Economic situation. Conclusion: the perception of dignity of patients in palliative care was influenced by health professionals and caregivers. Being a “correct person”, maintaining autonomy, being cared for and respected has increased the sense of dignity. Urban violence and the lack of compliance with accessibility policies have reduced the sense of dignity among palliative care patients.

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“…Isn't this what is expected in providing evidence-based care? Nurses have a responsibility to nurture the dignity of patients and have been involved in several studies to develop a concept of dignity, some based on a generic approach (Griffin-Heslin, 2005), and other in specific contexts, as in older adults (Coventry, 2006;Jacelon et al, 2004), palliative care (Brennan, 2014), dying patients (Hemati et al, 2016), and also in young child (Popovich, 2003).…”

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confidence: 99%

From the struggle of defining to the understanding of dignity: A commentary on Barclay (2016) “In sickness and in dignity: A philosophical account of the meaning of dignity in health care”

Caldeira

Timmins

McSherry

2017

International Journal of Nursing Studies

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Dear Editor,We were pleased to see that Barclay (2016) very recently addressed the important issue of dignity in health care. In the paper entitled "In sickness and in dignity: A philosophical account of the meaning of dignity in health care", the author (Barclay, 2016:136) promotes an understanding and sensitivity for patients' dignity as 'core' outlining critical responsibilities of health care practitioners. This enticing title left us very curious to know more about the philosophical perspective of dignity in health care that the paper purports to offer. The paper provides a very comprehensive and detailed review of key aspects of health care that may preserve or violate human dignity. They also draw upon some of the pioneering theories, models that seek to conserve dignity. For this reason the paper makes a significant contribution to these debates.Barclay (2016) draws our attention to the fact that dignity is a nebulous term and there is little consensus regarding definitions. Indeed Barclay (2016) calls for a more coherent and synthetized concept of dignity in health care suggesting that a less deconstructed account and the "identification of a core philosophical concept of dignity that clarifies and synthesises the disparate qualitative findings may be helpful" (p.137). However we would question, while offering a detailed discussion on the concept whether or not the paper delivered on its aims.We are not certain that, after reading the paper (on multiple occasions), nurses would have a more thorough grasp of the meaning of the concept of dignity. Additionally, while there seems to be a call for a broad understanding of the term, we would hold that the meaning of dignity within the nursing profession may have particular importance and relevance that could overlap but not necessarily fully concur with the interpretations of other disciplines. The particular professional lens that is used to understand dignity will ultimately affect understandings. For example, looking at dignity from at psychoanalytic perspective (Akhtar, 2015) differs widely from the perspective of a nurse.When reading Barclay's (2016) paper, the main argument put forward is that the meaning of dignity used in health care has been derived from a limited philosophical background. Thus the paper aims to Letter

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Dying with dignity: a concept analysis

Abstract: Respecting the dignity of the patient results in the reduction of her/his suffering and prepares her/him for a comfortable death.

Cited by 61 publications

References 43 publications

Respectful care of human dignity: how is it perceived by patients and nurses?

Respectful care of human dignity: how is it perceived by patients and nurses?

Perception of Dignity of Patients in Palliative Care

From the struggle of defining to the understanding of dignity: A commentary on Barclay (2016) “In sickness and in dignity: A philosophical account of the meaning of dignity in health care”

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